I had bladder sling surgery in Oct. I now have painful intercourse and
my spouse is rubbed by something in my vagina. I called the doctor and
I have an appointment next week. He said the sling went through the
vagina wall. What will happen and what will the doctor do to correct
this ...surgery?

Bre

Answer:

Dear
Bre,

The
sling procedure to preventing incontinence places support material directly
under the urethra and attaches it up to the connective tissue (fascia)
of the abdominal muscles.

The
success rate of the sling is very good, but like most incontinence procedures,
not perfect. Long-term success rates (after 5 years) are about 85%.

There
are terrible experiences of bladder sling surgery.

It
is difficult to find someone who really likes it.

During
intercourse it is normal that your husband can feel the mesh sling.

Painful intercourse after monarch sling surgery is something normal.

A lot
of people have a bladder sling installed with horrifying results.

It
is usual to have operations to remove part of the sling.

Some
Doctors recommends slings using pig tissue. They replace the mesh sling
with bovine or pig skin . It is a softer material and does not cut trough.

As
with all incontinence surgery it is important to let the sutures heal
completely, which takes about 12 weeks. So, for three months you should
not lift anything heavier than about 15 pounds.

The
surgery starts with a small incision made in the vagina, just below
the urethra. Small tunnels (about ½ inch wide) are then made
in the connective tissue on either side of the urethra and into the
space just behind the pubic bone.

The
sling is placed under the urethra at this point, and the ends of the
hammock are brought up to the connective tissue on top of the abdominal
muscles and fastened.

There
are a number of materials that can be used to make the sling. Some doctors
prefer to use a synthetic, nylon-like material, while others choose
fascia, the strong tissue that surrounds muscle, removed either from
the patient or sterilized, irradiated fascia from a cadaver donor.

There
are many variations of this operation and some doctors prefer to attach
the supporting material to the ligaments near the pubic bone. The supporting
material rests under the urethra like a firm hammock. When a cough or
sneeze pushes the urethra down, its forced against the sling,
and the urethra is closed off.

The
sling procedure is often used for women who have had previous incontinence
surgery that has failed because of excess scar tissue formation .It
also recommended for women with a weakened urethral sphincter that does
not close properly, especially when the urethra moves a lot with straining.

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